Active NPI
Peter Flores
- Addiction (Substance Use Disorder) Counselor
- Fresno, CA
National Provider Identifier
1932641156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- Family Youth Alternatives
2550 W. Clinton Building B, #128
Fresno, CA 93705 - Phone
- (559) 225-9117
- NPI assigned
- Nov 7, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
Family Youth Alternatives
2550 W. Clinton Building B, #128
Fresno, CA 93705
Mailing address
2550 W Clinton Ave
Building B, #128
Fresno, CA 93705
Phone (559) 225-9117
Other practice location 1
3333 E American Ave
Fresno, CA 93725-9247
Phone (559) 600-4878 ext. 04885
Other practice location 2
3122 N Millbrook Ave Ste Bandc
Fresno, CA 93703-1458
Phone (559) 225-9117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1932641156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W CLINTON AVE",
"address_2": "BUILDING B, #128",
"city": "FRESNO",
"state": "CA",
"postal_code": "93705",
"telephone_number": "559-225-9117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FAMILY YOUTH ALTERNATIVES",
"address_2": "2550 W. CLINTON BUILDING B, #128",
"city": "FRESNO",
"state": "CA",
"postal_code": "93705",
"telephone_number": "559-225-9117"
}
],
"practiceLocations": [
{
"address_1": "3333 E American Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937259247",
"country_code": "US",
"telephone_number": "559-600-4878 x04885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3122 N Millbrook Ave Ste Bandc",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937031458",
"country_code": "US",
"telephone_number": "559-225-9117",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLORES",
"first_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-07",
"last_updated": "2021-05-03",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.